Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.8
Physician Assistant Rules Concerning Orders and CMNs
5.8 – Physician Assistant Rules Concerning Orders and CMNs
(Rev. 10190; Issued: 06-19-2020; Effective: 01-01-2020; Implementation: 07-01-
2020)
Physician assistants may provide the dispensing order and write and sign the detailed
written order if they satisfy all the following requirements:
•
They meet the definition of physician assistant found in §1861(aa)(5)(A) of the
Act;
•
They are treating the beneficiary for the condition for which the item is needed;
•
They are practicing under the supervision of a Doctor of Medicine or Doctor of
Osteopathy;
•
They have their own NPI; and
•
They are permitted to perform services in accordance with State law.
Physician assistants may complete section b and sign section D of a CMN if they meet all
the criteria described above for signing orders.